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Background: Breastfeeding is a valuable experience for both mother and infant, enhancing cognitive development, immunity, and emotional bonding. However, exclusive breastfeeding coverage remains suboptimal, partly due to inadequate breastfeeding technique skills among mothers. Objective: This study aims to analyze the differences in breastfeeding technique skills among pregnant women before and after a video-based educational intervention at the Gema Santi Nusa Penida Regional General Hospital, Klungkung Regency. Methods: This study utilized a pre-experimental design with a one-group pretest-posttest approach. The population consisted of 160 pregnant women visiting the Gema Santi Nusa Penida Regional General Hospital from March to April 2025. A sample of 32 pregnant women was determined using a comparative analysis sample size formula and selected via purposive sampling. Primary data were collected through observation using a validated and reliable breastfeeding technique skill checklist (calculated $r = 0.411 - 0.758 > 0.349$; Cronbach's alpha $= 0.757 > 0.6$). Results: The Shapiro-Wilk test indicated that the data were normally distributed, with values of 0.325 (pre-test) and 0.127 (post-test) $> 0.05$. The mean score for breastfeeding technique skills was 42.28 before the intervention and increased to 70.46 afterwards. The paired t-test demonstrated a significant difference in breastfeeding technique skills before and after the educational intervention ($p = 0.000 < 0.05$). Conclusion: Video media is highly effective in improving breastfeeding technique skills. Future initiatives should focus on developing more comprehensive video content to further enhance educational efficacy.

Notaris sebagai pejabat umum pemegang kewenangan atributif negara dalam pembuatan akta otentik menghadapi kerentanan hukum serius akibat penggunaan dokumen palsu oleh penghadap beriktikad buruk. Asas kepercayaan (vertrouwen) menempatkan notaris pada posisi paradoks: wajib melayani masyarakat, namun berisiko dikriminalisasi atas kejahatan pihak yang dilayaninya. Penelitian ini mengkaji tiga permasalahan: pengaturan hukum tanggung jawab notaris atas akta berbasis dokumen palsu, ketidakmemadaian regulasi dalam melindungi notaris, serta model perlindungan hukum ideal bagi notaris menghadapi pemalsuan dokumen penghadap. Penelitian menggunakan metode yuridis normatif dengan pendekatan perundang-undangan, konseptual, dan kasus, berbasis data sekunder yang dianalisis melalui content analysis dan divalidasi melalui triangulasi sumber. Hasil penelitian menunjukkan: Pertama, UUJN dan KUHPerdata membatasi tanggung jawab notaris pada kebenaran formal dan prosedural pembuatan akta, sedangkan kebenaran materiil dokumen merupakan tanggung jawab mutlak penghadap. Kedua, regulasi berlaku belum memadai karena UUJN tidak memuat klausul good faith immunity, mekanisme shifting of liability belum diatur secara rigid, kewenangan Majelis Kehormatan Notaris terbatas pada fungsi administratif tanpa daya ikat terhadap proses penyidikan, serta ketiadaan sistem verifikasi identitas digital terintegrasi. Ketiga, model perlindungan ideal adalah model tiga lapis: lapis preventif melalui verifikasi identitas digital real-time terintegrasi dengan Dukcapil dan BPN; lapis normatif melalui amandemen UUJN yang memuat klausul imunitas iktikad baik dan pengalihan tanggung jawab material kepada penghadap manipulatif; serta lapis represif melalui penetapan izin MKN sebagai syarat mutlak penetapan tersangka dan jaminan rehabilitasi bagi notaris yang dikriminalisasi secara tidak sah.

The legal profession plays a vital role in the judicial system to ensure the principle of equality before the law as well as fair and accountable legal proceedings. In accordance with Law No. 18 of 2003 on Advocates, an advocate is an autonomous, independent, and accountable legal professional who is granted immunity as stipulated in Articles 14, 15, and 16, which provide protection from civil and criminal claims when acting in good faith while performing their duties. However, in practice, the scope of this immunity often leads to differing interpretations, particularly regarding the parameters of “good faith” and the scope of “professional duties,” which can result in the criminalization of lawyers. This is evident in the case of Hendra Sianipar, where a lawyer’s actions in exercising legal authority were instead subject to criminal prosecution. This study aims to examine the limits of attorney immunity and explore the potential for criminalization of this profession using a normative legal approach combined with a legal utility analysis. The findings of this study indicate that attorney immunity is not absolute but is limited by good faith, compliance with the law, and professional ethics, thus requiring clearer and more balanced clarification of these limits.

Family Medicinal Plants (TOGA) are one form of natural resource utilization that can be used as an alternative traditional medicine as well as an effort to improve public health. Medicinal plants are widely used by the community because they are easy to obtain, relatively safe, and have lower costs compared to modern medical drugs. This study aims to examine the utilization of TOGA plants as an effort to improve the health of the people of Kudu Ganting Village through a literature study approach. The method used was a literature review by examining various scientific sources such as books, journals, and research reports related to family medicinal plants. The results of the study indicate that plants such as ginger, turmeric, lemongrass, temulawak, and betel leaves provide various health benefits, including improving body immunity, treating digestive disorders, and functioning as natural antiseptics. Therefore, the utilization of TOGA plants can serve as an effort to improve community health while also making productive use of home yard land.

Anemia is a condition with hemoglobin and erythrocyte levels lower than normal, which is 12 grams/dl for adolescents. Iron deficiency anemia in adolescent girls is at higher risk because it causes a decrease in immunity, making them susceptible to health problems. One of the causes is the lack of knowledge of adolescent girls about healthy lifestyles and self-motivation regarding the importance of balanced nutrition in preventing anemia. The purpose of this study was to determine the effect of education on the level of knowledge of adolescent girls about anemia. The type of research used was quantitative research with a quasi-experimental research design with a pre-test-post-test research design. The sample consisted of 90 adolescent girls. The results showed that before being given education, the majority of respondents were in the sufficient category (45.6%), while after being given education, the majority were in the good category (84.4%). The results of this study showed that there was a significant difference in the level of knowledge of adolescent girls about anemia before and after being given education with a significance value of 0.000, which means there was a significant effect of education on the level of knowledge of adolescent girls about anemia.

Anemia is a condition with hemoglobin and erythrocyte levels lower than normal, which is 12 grams/dl for adolescents. Iron deficiency anemia in adolescent girls is at higher risk because it causes a decrease in immunity, making them susceptible to health problems. One of the causes is the lack of knowledge of adolescent girls about healthy lifestyles and self-motivation regarding the importance of balanced nutrition in preventing anemia. The purpose of this study was to determine the effect of education on the level of knowledge of adolescent girls about anemia. The type of research used was quantitative research with a quasi-experimental research design with a pre-test-post-test research design. The sample consisted of 90 adolescent girls. The results showed that before being given education, the majority of respondents were in the sufficient category (45.6%), while after being given education, the majority were in the good category (84.4%). The results of this study showed that there was a significant difference in the level of knowledge of adolescent girls about anemia before and after being given education with a significance value of 0.000, which means there was a significant effect of education on the level of knowledge of adolescent girls about anemia.

In this study, advocates are guaranteed legal protection to implement the right to defence in criminal cases.   to learn how criminal advocates are protected if they enforce the law.   The privilege of immunity shields advocates from civil or criminal litigation for good faith work inside and outside the court.   This study uses normative juridical research, which examines current laws and regulations.   Analysis of relevant legislation is needed for this research.   According to the study, Article 16 of Law Number 18 of 2003 concerning Advocates does not adequately describe advocates' immunity rights.   Lack of clear explanations of protection types, rights constraints, and good faith between advocates and other parties may lead to power abuses.   More extensive norms that are in keeping with other articles of the law are needed to apply advocates' immunity rights proportionately, guaranteeing freedom in performing their profession while maintaining society's and justice's legal interests.

Exclusive breastfeeding (EBF) is essential for infant growth and immunity during the first six months of life. Despite its benefits, many primiparous mothers face challenges in maintaining EBF due to lack of experience, stress, and insufficient support. Husband support has been identified as a crucial social factor that can influence a mother’s confidence and success in breastfeeding. This study aimed to examine the relationship between husband support and the success of exclusive breastfeeding among primiparous mothers in the Kalibaru Public Health Center area. A cross-sectional correlational design was employed, with 90 primiparous mothers selected through purposive sampling. Data were collected using structured questionnaires measuring husband support, including emotional, informational, and instrumental dimensions, and exclusive breastfeeding practice, following the World Health Organization (WHO) definition. Descriptive statistics summarized participants’ demographic characteristics and levels of support, while inferential analysis using the Chi-square test and Pearson correlation determined the association between husband support and EBF success. The results indicated that higher levels of husband support were significantly associated with successful exclusive breastfeeding among primiparous mothers (p < 0.05). Among the types of support, emotional and informational support were particularly influential in enhancing maternal confidence and overcoming breastfeeding challenges. These findings suggest that encouraging husband involvement through prenatal education, counseling, and family-based interventions can improve EBF rates. In conclusion, husband support plays a vital role in the successful practice of exclusive breastfeeding among first-time mothers. Health programs should actively involve fathers to provide emotional, informational, and practical support, thereby promoting optimal breastfeeding outcomes and infant health in the community.

Herpes zoster is a skin infection caused by the reactivation of the varicella-zoster virus, characterized by unilateral skin lesions corresponding to dermatome distribution and complaints of pain or itching. This disease is more common in adults and the elderly, especially in individuals with reduced immunity due to stress or work overload. A case was reported of a 40-year-old woman who worked as a nurse and came to a primary health care facility complaining of itching and red spots on her right breast area that had spread to the surrounding area two weeks before the examination and had worsened in the last few days. Physical examination revealed unilateral red skin lesions in a dermatomal pattern without crossing the midline of the body, consistent with the early phase of herpes zoster. Management was comprehensive, including medication, patient education about the disease and skin care, prevention of complications, and family support. A holistic approach is necessary to improve the success of therapy and the patient's quality of life.

Vibrio sp. is one of the main pathogenic bacteria causing various diseases in whiteleg shrimp (Litopenaeus vannamei) cultivation, such as vibriosis, which can reduce the survival rate and productivity of ponds. Environmentally friendly Vibrio control efforts can be achieved through the use of probiotics. One widely used probiotic is Lactobacillus sp., which is known to suppress the growth of pathogenic bacteria through competition for space and nutrients, production of antimicrobial compounds (bacteriocins and organic acids), and increased shrimp non-specific immunity. This study aimed to determine the effectiveness of administering different doses of Lactobacillus sp. in suppressing Vibrio sp. populations in whiteleg shrimp cultivation media. The method used was a Completely Randomized Design (CRD) with four treatments and five replications: control (A), 6 ppm lactobacillus sp (B), 12 ppm (C), and 18 ppm (D). The parameter observed was the Total Vibrio Count (TVC) in the culture water after 24 hours of lactobacillus administration.

Tuberculosis (TB) remains a major global health problem with high morbidity and mortality rates, particularly in high-burden countries such as Indonesia. Nutritional status is one of the important factors influencing the incidence and outcomes of TB. This literature review aims to analyze the relationship between nutritional status and pulmonary tuberculosis based on recent national and international studies. Articles were retrieved from Google Scholar, PubMed, and Portal Garuda using the keywords “nutritional status” and “tuberculosis” as well as “status gizi tuberculosis” within the period of 2019–2024. Eligible articles were analyzed descriptively. The findings indicate that poor nutritional status is significantly associated with an increased risk of pulmonary tuberculosis. Malnutrition impairs cellular immunity, particularly T-lymphocyte and macrophage function, thereby increasing susceptibility to Mycobacterium tuberculosis infection. Conversely, active TB infection can worsen nutritional status through increased energy expenditure, decreased appetite, and metabolic alterations. This bidirectional relationship highlights the crucial role of nutritional interventions in TB prevention and management. Therefore, improving nutritional status should be considered an integral component of tuberculosis control strategies.

Oral candidiasis pseudomembranous is an infection of the oral cavity caused by microorganisms such as fungi, specifically due to the overgrowth of Candida albicans. It frequently manifests in individuals with impaired local or systemic immunity, or those with specific behavioral risk factors. Predisposing factors, such as habitual alcohol consumption and smoking, play a significant role in reducing the resilience of the oral mucosa and altering the balance of the normal oral flora. This case report aims to examine the correlation between behavioral risk factors and the development of pseudomembranous oral candidiasis. A 22-year-old male was reported to have a lesion consisting of thick, raised, whitish plaques that were non-scrapable and asymptomatic. The patient had an unhealthy lifestyle, including alcohol consumption and smoking two packs per day, along with poor oral hygiene. To confirm the suspicion of oral thrush, a potassium hydroxide (KOH) examination was performed, which revealed the presence of Candida albicans. This led to therapeutic management using Nystatin (Candistatin) and Chlorhexidine, complemented by mechanical treatment with a tongue scraper. Pseudomembranous oral candidiasis in this 22-year-old male patient is a classic example in which local behavioral risk factors and lifestyle act as the main triggers of infection.

Measles Rubella (MR) immunization coverage in Indonesia remains below the national target of 95%, with coverage in 2024 reaching only 82.3% and showing a decline compared to the previous year. A lower coverage was observed in the working area of Pekanbaru Kota Public Health Center, where only238 out of 547 eligible children (41.3%) received MR immunization. Low immunization coverage may reduce herd immunity and increase the risk of measles and rubella outbreaks. This study aimed to analyze factors influencing MR immunization uptake among children under five in the working area of Pekanbaru Kota Public Health Center in 2025. This quantitative study employed a cross-sectional design involving 40 mothers of children aged 9–60 months selected through accidental sampling. Data were collected using structured questionnaires assessing maternal knowledge, attitudes, family support, support from health workers, and travel time to health facilities. Univariate and bivariate analyses were performed using the Chi-Square test at a 95% confidence level (α = 0.05). The results showed that 67.5% of respondents had provided MR immunization to their  children.  Significant associations  were  found  between  maternal knowledge (p = 0.033), maternal attitudes (p = 0.037), family support (p = 0.002), and health worker support (p = 0.015) with MR immunization uptake, while travel time to health facilities was not significantly associated (p = 0.053). In conclusion, maternal knowledge and attitudes, family support, and health worker support are significant factors influencing MR immunization uptake, highlighting the need to strengthen health education and family involvement to improve MR immunization coverage.

The COVID-19 pandemic caused by SARS-CoV-2 has had a significant impact on public health behavior, including the increasing consumption of health supplements as an effort to strengthen immunity. This study aims to describe the level of knowledge of the people of Gedongan Village RT 01 RW 05 regarding the use of health supplements during the pandemic. Health supplements are defined as products that contain vitamins, minerals, amino acids, and herbal ingredients to support the immune system. The study used a descriptive approach with a survey method, involving 106 respondents who were selected purposively. Primary data was obtained through a structured questionnaire that had been validated, then analyzed descriptively. The results showed that the majority of respondents had a level of knowledge in the sufficient category (54%), followed by the poor category (25%) and the good category (21%). Respondents understood the benefits of supplements as a nutritional supplement, but knowledge related to rules of use, appropriate dosage, and potential side effects was limited. Demographic factors such as age, education, and type of work have an effect on knowledge levels, where respondents of productive age, secondary education, and work with cognitive demands show better understanding. The study concludes the need for continuous health education through health workers, especially pharmacists, with an approach according to demographic characteristics to encourage the use of supplements in a rational, safe, and appropriate manner.

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

Public health is a crucial aspect of national development and is influenced by dietary consumption patterns. In Indonesia, the consumption of preserved foods has increased alongside lifestyle changes, economic conditions, and access to processed and packaged foods. Although preservatives function to extend shelf life, their improper use particularly hazardous substances such as formaldehyde, borax, and rhodamine B can have adverse health effects. This study aims to identify the factors contributing to high preserved food consumption, analyze their impact on public health, and examine weaknesses in Indonesia’s food monitoring system. The research employs a qualitative method through a literature review of scientific articles, reference books, and official reports from the National Agency of Drug and Food Control and the Ministry of Health. The findings indicate that preserved food consumption is influenced by a preference for convenience, economic constraints, and limited public knowledge of nutrition and food safety. Health impacts include digestive disorders, decreased immunity, impaired organ function, and an increased risk of chronic diseases. In addition, limited resources and weak law enforcement contribute to suboptimal food supervision. Therefore, strengthening regulatory oversight, enhancing public education, and promoting cross-sector collaboration are necessary to achieve a safe and healthy food system.

Social media has become a double-edged sword; acting as a space for religious learning while simultaneously serving as a medium for spreading radicalism. As digital natives, students are vulnerable to extremist narratives if not equipped with adequate cognitive immunity. This study aims to examine the influence of Digital Religious Literacy and Critical Thinking skills on the resilience of Islamic Religious Education (PAI) students in countering radical narratives. Using a quantitative approach with a correlational method, this study involved 30 PAI students selected through random sampling. Data collection instruments used a Likert scale questionnaire that had been tested for validity and reliability. Data analysis was performed using multiple linear regression. The results showed that: (1) The level of digital religious literacy and counter-radicalism attitudes of students were in the "very high" category with mean scores of 22.40 and 23.00 respectively; (2) There is a significant positive relationship (Sig. < 0.05) between digital literacy and critical thinking towards the attitude of countering radicalism; and (3) Simultaneously, these two variables contributed 68.2% in forming students' mental resilience in the digital space. These findings imply the need for a reorientation of the PAI curriculum that integrates the strengthening of critical reasoning and digital literacy as a fortress of religious moderation.

The right to immunity for advocates is an important instrument to ensure that advocates can practice their profession freely, especially in defending clients' interests in court, without being disturbed by legal threats. However, this right is not absolute and can be lost if the advocate violates the code of ethics or harms the dignity of the court, as in the case of Razman Arif Nasution, which raised questions about the balance between professional protection and ethical responsibility. This paper aims to examine the limits of the right to immunity for advocates in the context of violations of professional ethics, as well as explore its legal implications for the disciplinary mechanisms of advocate organizations. The method used is normative juridical, with a statute approach and a case study approach. The study findings indicate that advocate protection must still be linked to compliance with professional ethics, so that in practice disciplinary mechanisms have a strategic role in upholding professionalism.

The normal flora of chickens refers to the microbial communities that naturally inhabit the gastrointestinal tract and body surfaces of chickens, playing a crucial role in health, digestion, and immunity. This community consists of beneficial bacteria such as Lactobacillus, Bifidobacterium, and Bacillus, which assist in feed fermentation, vitamin synthesis, and inhibition of pathogenic growth. Additionally, the normal flora may include potential pathogenic bacteria such as Escherichia coli, Salmonella spp., and Campylobacter, which can cause diseases if microbial balance is disrupted. The diversity and balance of the microbiota are influenced by various abiotic factors, including feed quality, access to clean water, ambient temperature, humidity, and environmental hygiene. Biotic factors, such as microbial interactions, rearing systems, and contact with other animals, also play a significant role in determining microbial composition. Several studies have shown that the use of feed additives, such as probiotics and phytogenics, can enhance populations of beneficial bacteria while suppressing pathogenic bacteria. Extensive rearing systems, which provide chickens with more space and exposure to natural environments, tend to increase microbiota diversity compared to semi-intensive systems with more restricted conditions. Understanding these factors is essential for developing effective health management strategies and optimizing safe and sustainable poultry production.

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.